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Basis of Presentation and Summary of Significant Accounting Policies - Additional Information (Details) |  |  | 1 Months Ended | 5 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | --- | --- | --- | ---
Oct. 01, 2018 USD ($) | Dec. 08, 2017 USD ($) | Jan. 31, 2018 USD ($) | Aug. 30, 2019 USD ($) | Dec. 31, 2019 USD ($) segment unit | Dec. 31, 2018 USD ($) | Dec. 31, 2017 USD ($) | Sep. 01, 2019 USD ($) | Jan. 01, 2019 USD ($)
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Number of operating segments | segment |  |  |  |  | 1 |  |  |  |
Number of reportable segments | segment |  |  |  |  | 1 |  |  |  |
Amount deposit accounts exceeded FDIC insured limit |  |  |  |  | $ 226,500,000 | $ 118,600,000 |  |  |
Amount of short-term marketable securities |  |  |  |  | 116,538,673 | 1,127,102 |  |  |
Restricted cash |  |  |  |  | 100,000 | 0 |  |  |
Allowance for doubtful accounts |  |  |  |  | 2,900,000 | 4,300,000 |  |  |
Impairment of finite-lived intangible assets |  |  |  |  | 0 | 0 |  |  |
Impairment of goodwill and intangible assets |  |  |  |  | $ 1,994,000 | 3,798,866 | $ 2,431,791 |  |
Number of main reporting units | unit |  |  |  |  | 3 |  |  |  |
Impairment of goodwill and intangible assets |  |  |  |  | $ 3,800,000 | 3,798,866 |  |  |
Billing in excess of costs |  |  |  |  |  | 7,800,000 | 34,500,000 |  |
Risk pool settlement |  |  |  |  |  | 900,000 | $ 5,900,000 |  |
Payment of revenue |  |  | $ 7,300,000 | $ 8,300,000 |  |  |  |  |
Payment of revenue reduce | $ 5,500,000 |  |  |  |  |  |  |  |
AIPBP payments |  |  |  |  |  |  |  | $ 3,700,000 |
Accrued contract liability recognized |  |  |  |  | 56,100,000 |  |  |  |
Contract liability balance |  |  |  |  | $ 8,900,000 | $ 9,100,000 |  |  |
Voting rights held (more than) |  |  |  |  | 50.00% |  |  |  |
Operating lease right-of-use assets |  |  |  |  | $ 14,247,727 |  |  |  | $ 9,000,000
Operating lease liabilities |  |  |  |  | 14,363,283 |  |  |  | $ 8,900,000
Other Receivables, Related to IBNR |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Recoverable claims paid |  |  |  |  | 8,500,000 |  |  |  |
Other Receivables, Final Settlement 2017 Performance Year |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Recoverable claims paid |  |  |  |  | 3,000,000 |  |  |  |
Other Receivables, Risk Earnings, 2018 Performance Year |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Recoverable claims paid |  |  |  |  | 900,000 |  |  |  |
Accounts Payable and Accrued Expenses |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Payment of revenue |  |  |  |  | 56,100,000 |  |  |  |
Accrued contract liability recognized |  |  |  |  | 500,000 |  |  |  |
Other Receivables |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Recoverable claims paid |  |  |  |  | $ 6,500,000 |  |  |  |
CMS |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Expected period of payment upon termination of agreement |  |  |  |  | 30 days |  |  |  |
PMPM |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Contract term |  |  |  |  | P1Y |  |  |  |
Management contracts |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Contract term |  |  |  |  | P10Y |  |  |  |
APAACO |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Estimated revenue percentage |  |  |  |  |  |  | 100.00% |  |
PASC |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Impairment of investments |  |  |  |  | $ 300,000 |  |  |  |
Medicare licenses |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Indefinite-lived Intangible Assets, Written off Related to Sale of Business Unit |  | $ 2,000,000 |  |  | $ 2,000,000 |  |  |  |
Minimum |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Property, plant and equipment, useful life |  |  |  |  | 3 years |  |  |  |
Maximum |  |  |  |  |  |  |  |  |
Summary Of Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |  |
Property, plant and equipment, useful life |  |  |  |  | 10 years |  |  |  |

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